Section 1 – Applicant Details

I and/or my carer authorise the Medical Aids Subsidy Scheme (MASS) to use Centrelink Confirmation eServices to enquire about my Centrelink or Department of Veterans' Affairs (DVA) customer details and concession card status, in order to determine my eligibility for subsidies or services. We also authorise Services Australia to release the results of that enquiry to MASS. I and/or my carer understand that Services Australia may share personal information such as my name, date of birth, address, concession card type and status with MASS. This consent remains valid unless withdrawn in writing. If we withdraw consent or fail to provide proof of eligibility, I may no longer be eligible for MASS services. I and/or my carer acknowledge that I have undergone a clinical assessment, actively participated in selecting my spectacles, and that the information provided to the prescriber is accurate and reflects my current condition. We confirm I’ve been instructed on how to use my prescribed spectacles. I and/or my carer understand that features and options of the spectacles have been explained. Once ordered, exchanges cannot be made. If I choose to use my own frames, we accept all associated risks. MASS does not take responsibility for damage or loss during transit. The application process may take up to one month or longer, depending on the information provided. Eligibility for future assistance is subject to clinical review. I and/or my carer will notify MASS within 14 days if my address or eligibility changes. I and/or my carer consent to the collection and sharing of my personal and health information by MASS in accordance with the Information Privacy Act 2009 and the Hospital and Health Boards Act 2011. Information may be shared with carers, healthcare professionals, suppliers, or service providers for MASS-related purposes. It will not be shared otherwise unless required by law. I and/or my carer agree to receive email communication from MASS, including for the purpose of processing this application. We understand the limitations of email confidentiality, accept responsibility for providing a current email, and acknowledge emails form part of my MASS record.